Provider Demographics
NPI:1972864536
Name:TIRADO, JULIA ENCINAS (RCS)
Entity type:Individual
Prefix:MISS
First Name:JULIA
Middle Name:ENCINAS
Last Name:TIRADO
Suffix:
Gender:F
Credentials:RCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 W LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-3046
Mailing Address - Country:US
Mailing Address - Phone:818-731-4843
Mailing Address - Fax:
Practice Address - Street 1:237 W LINDEN AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-3046
Practice Address - Country:US
Practice Address - Phone:818-731-4843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00083727246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography